18-104448 a
t r
•
Mechanical
City of Federal Way Permit #:18-104448-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: MIRROR LAKE VILLAGE SENIOR HOUSING BLDG A
Project Address: 31000 9TH PL SW Parcel Number:072104 9087
Project Description: Mechanical system for new senior housing.
Owner Applicant Contractor
MIRROR LAKE VILLAGE LLC ALEX BURKHARTEVERGREEN EVERGREEN REFRIGERATION LLC
PO BOX 6961 REFRIGERATION (GENERAL)
BELLEVUE WA 98008 727 S KENYON ST EVERGRL954R2(1/6/20)
SEATTLE WA 98108 727 S KENYON ST
SEATTLE WA 98108
Additional Permit Information
Mechanical Work Valuation? 570000 Is this an Online or O.T.C.application? No
Air Handling Units 61 Compressors/Heat Pumps 43 Ducting 49
Fans 37 Furnaces 3 Hoods 2
PERMIT EXPIRES Monday,3 June,2019
Permit Issued on Wednesday,December 5,2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Wa ton and the City of Federal Way.
Owner or agent ' I... Date:
THIS CARD IS TO REMAIN ON-SITE J
����
arra
Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 104448 00 Address: 31000 9TH PL SW
Project: MIRROR LAKE VILLAGE LLC FEDERAL WAY WA 98023-4515
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check withour inspector if
sequence. On-going inspections are logged on the back of this card.
are unsure about any of the inspections or the inspectiony
El Mechanical Rough-in(4165) El Gas Piping(4125) ® Final-Mechanical(4065)
Approved Approved to release test Approved
By Date • , - ( By 'Al Date VZ.6. it By ; Date 9/5 _, _
El Rough Electrical El Final ElectricalElRight of Way
Approved Approved Approved
By Date By Date By Date
3V_,C ;;; c o
L.4 r.
'1 9
p
4 n
•
r d
,„,,,,,__A. RECEIVED PERMIT APPLICATI N
CITY OF
Federal Way SEP 2 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
2018 253-835-2607+FAX 253-835-2609+permitcentei(a�cityoffederalway.com
CITY OF FED
ERAL
WAY
MENT
PERMIT NUMBER Q _ / _ TARGET DATE /D —1gSL / M
SITE ADDRESS SUITE/UNIT#
31000 9th Ave SW Building A
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL#
$ 570,000.00 0 7 2 1 0 4 _ 9 0 8 7
TYPE OF PERMIT El BUILDING El PLUMBINGVeMECHANICAL 0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Mirror Lake Village Senior Housing - Building A
Installation of one(1)rooftop unit,one(1)heat recovery unit,eleven(11)split system heat pumps,thirty-two(32)ductless split
PROJECT DESCRIPTION
Detailed description of work to system heat pumps,three(3)electric wall heaters,one(1)makeup air unit,two(2)kitchen hoods,one(1)hood exhaust fan,one
be included on this permit only (1)dishwasher exhaust fan,one(1)garage exhaust fan,one(1)transfer fan,two(2)dryer booster fans,thirty-one(31)exhaust
fans,fire/smoke dampers,ductwork/venting,grilles/diffusers,and refrigeration piping.
NAME PRIMARY PHONE
Mirror Lake Village LLC
PROPERTY OWNER MAILING ADDRESS E-MAIL
570 150th PI. NE
° " Bellevue STATE zip 98007
NAME Evergreen Refrigeration ° 206-763-1744
'AILII1G ADDRESS 727 S Kenyon St. E-alexb@evergreenhvac.com
CONTRACTOR
CITY Seattle STATE
8108 FAX 206-763-2389
WA STATE CONTRACTOR'S LICENSE• EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0
EVERGRL954R2 1 6 20 20-06-100781-00-BL
NAME
Alex Burkhart Y206 763-1744
APPLICANT 727 727 S Kenyon St. E-MAILlexb@evergreenhvac.com
CITY Seattle WA 8108 TE ZIP FAX 206-763-2389
PROJECT CONTACT NAME Alex Burkhart
PRIMARY PHONE
E-MAIL
(The individual to receive and MAILING ADDS 727 S Kenyon St. alexb@evergreenhvac.com
respond to all correspondence
concerning this application) CITY Seattle WAA ZIPFAXFAR 206-763-2389
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person, including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE 9/17/18
PRINT NAME: Alex Burkhart
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
-*v
a
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$570,000.00
Indicate how many of each type offixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
61 AIR HANDLING UNITS 37 FANS GAS PIPE OUTLETS 3 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS 2 HOODS(Commercial) Electric wall
BOILERS 3 FURNACES HOT WATER TANKS(Gae) heater
43 COMPRESSORS GAS LOG SETS REFRIGERATION SYST
49 DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) LAVS mend Stoke) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals EXISTING
**NNW HOMES Osypre
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
ArAREA DESCRIPTION 68 Occupancy Group(s) Coasetrutioa Stories Additional Information
Square Feet
Esv BO1fG
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area m Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BEILDING
TENANT AREA ONLY
PROJECT AREA .Y
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application